Basic Information
| Provider Information | |||||||||
| NPI: | 1174655104 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHRISTIAN | ||||||||
| FirstName: | DOROTHY | ||||||||
| MiddleName: | L. | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1001 POTRERO AVE # 3M | ||||||||
| Address2: | SFGH ORTHOPEDIC SURGERY | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941103518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4152065072 | ||||||||
| FaxNumber: | 4156473733 | ||||||||
| Practice Location | |||||||||
| Address1: | 1001 POTRERO AVE # 3M | ||||||||
| Address2: | SFGH ORTHOPEDIC SURGERY | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941103518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4152065072 | ||||||||
| FaxNumber: | 4156473733 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/13/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WM0705X | RN 546695 | CA | X | Nursing Service Providers | Registered Nurse | Medical-Surgical | 363LA2100X | NP11949 | CA | X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care |
ID Information
| ID | Type | State | Issuer | Description | 963272 | 01 | SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER | OTHER |